Oluchi L Ezeume, DNP, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP11482 Issued in AZ

Practice address

9700 N Saguaro Blvd Ste 100
Fountain Hills, AZ 85268-6242

Phone

(602) 671-7990

NPI assigned

Oct 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/fountai-caf4ac88

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FHMC Clinic

  dba Fountain Hills Medical Center

  • Emergency Medicine Physician
  • Fountain Hills, AZ
  • NPI 1043830623

  Gerontology

  Medicare reassignment NPD
• FHMC Operating PC

  dba FHMC Primary Care Clinic

  • Adult Medicine Physician
  • Fountain HLS, AZ
  • NPI 1295355881

  Gerontology

  Medicare reassignment NPD
• FHMC LLC

  dba El Mirage Emergency and Medical Center

  • Emergency Care Clinic/Center
  • Fountain Hills, AZ
  • NPI 1609496397
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1295138246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N SAGUARO BLVD STE 100",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686242",
            "telephone_number": "602-671-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N SAGUARO BLVD STE 100",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686242",
            "telephone_number": "602-671-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUME",
        "first_name": "OLUCHI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "A810623",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004893",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP11482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Esquivias
• Kassandra Lee Eull
• Rachel H Evans, MD
• Eyes on Fountain Hills P.C.
• Chukwuemeka N Ezeume, MD
• Dalal Jamal Fakri, RPH
• Zohal Faqeeri
• Jacquelyn Faris, DPT
• Katelyn Kristine Modjeski Fenlon, DDS
• Ffi Fountain View SNF Tenant LLC (Fountain View Village)

• Gerontology Nurse Practitioner in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Gerontology Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.